Downloadable Forms

Initial Appointment

All intake forms and agreements can be found by logging into the client portal via the link provided at initial client setup.  Please call the office at 515-727-1338 if your link has expired.

ALL CLIENTS PLEASE READ – Family Legacy Counseling Notice of Privacy Practices


For testing clients complete the above child or adult form plus the Testing Informed Consent listed below.


Release of Information

To release a provider to speak to another individual please complete the form below.


Appointment Request

  • This field is for validation purposes and should be left unchanged.